Provider Demographics
NPI:1033787049
Name:SILVERS, TIANA L (AGACNP-BC)
Entity Type:Individual
Prefix:
First Name:TIANA
Middle Name:L
Last Name:SILVERS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14400 TOOLEY TER
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-6633
Mailing Address - Country:US
Mailing Address - Phone:804-439-4886
Mailing Address - Fax:804-768-6058
Practice Address - Street 1:14400 TOOLEY TER
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-6633
Practice Address - Country:US
Practice Address - Phone:804-439-4886
Practice Address - Fax:804-768-6058
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181548363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care